Counselling on physical activity in Danish antenatal care: A qualitative study of experiences from both the pregnant woman's and the care provider's perspective
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Counselling on physical activity in Danish antenatal care : A qualitative study of experiences from both the pregnant woman's and the care provider's perspective. / Brændstrup, Nina; Roland, Caroline Borup; de Place Knudsen, Signe; Bendix, Jane M.; Clausen, Tine D.; Molsted, Stig; Stallknecht, Bente; Løkkegaard, Ellen; Jespersen, Astrid Pernille.
I: Sexual and Reproductive Healthcare, Bind 38, 100902, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Counselling on physical activity in Danish antenatal care
T2 - A qualitative study of experiences from both the pregnant woman's and the care provider's perspective
AU - Brændstrup, Nina
AU - Roland, Caroline Borup
AU - de Place Knudsen, Signe
AU - Bendix, Jane M.
AU - Clausen, Tine D.
AU - Molsted, Stig
AU - Stallknecht, Bente
AU - Løkkegaard, Ellen
AU - Jespersen, Astrid Pernille
N1 - Publisher Copyright: © 2023 The Authors
PY - 2023
Y1 - 2023
N2 - Objectives: Physical activity during pregnancy is beneficial to maternal and fetal health, but most pregnant women do not achieve the recommended level of physical activity. To investigate how antenatal care can promote physical activity during pregnancy, this study explores experiences of physical activity counselling from the perspectives of pregnant women and antenatal care providers. Methods: In a qualitative design with an inductive approach individual semi-structured interviews with 19 pregnant women and seven antenatal care providers were performed and analyzed using thematic analysis. Results: The themes “Experiencing inadequate counselling”, “Benefiting from individualized guidance”, and “Voicing a need for enhanced support” cover the perspectives from the participating pregnant women. They often experienced insufficient physical activity counselling that left them insecure about proper physical activity during pregnancy. The pregnant women desired individualized and concrete advice and early and continuous support. From antenatal care providers the themes “Providers’ perceived barriers in counselling”, “Balancing the act of counselling”, and “Acknowledging potential for enhanced counselling” were identified. They perceived barriers towards counselling including time restraints, lack of interest, and doubts about certain physical activity during pregnancy but expressed trying to adjust the counselling to meet the woman's individual situation. They acknowledged that continuous support during pregnancy and updated knowledge and increased focus among providers might improve physical activity counselling. Conclusions: Pregnant women received scarce counselling on physical activity in antenatal care, while care providers described several barriers towards counselling on physical activity. Both pregnant women and antenatal care providers recognized opportunities for enhanced physical activity counselling.
AB - Objectives: Physical activity during pregnancy is beneficial to maternal and fetal health, but most pregnant women do not achieve the recommended level of physical activity. To investigate how antenatal care can promote physical activity during pregnancy, this study explores experiences of physical activity counselling from the perspectives of pregnant women and antenatal care providers. Methods: In a qualitative design with an inductive approach individual semi-structured interviews with 19 pregnant women and seven antenatal care providers were performed and analyzed using thematic analysis. Results: The themes “Experiencing inadequate counselling”, “Benefiting from individualized guidance”, and “Voicing a need for enhanced support” cover the perspectives from the participating pregnant women. They often experienced insufficient physical activity counselling that left them insecure about proper physical activity during pregnancy. The pregnant women desired individualized and concrete advice and early and continuous support. From antenatal care providers the themes “Providers’ perceived barriers in counselling”, “Balancing the act of counselling”, and “Acknowledging potential for enhanced counselling” were identified. They perceived barriers towards counselling including time restraints, lack of interest, and doubts about certain physical activity during pregnancy but expressed trying to adjust the counselling to meet the woman's individual situation. They acknowledged that continuous support during pregnancy and updated knowledge and increased focus among providers might improve physical activity counselling. Conclusions: Pregnant women received scarce counselling on physical activity in antenatal care, while care providers described several barriers towards counselling on physical activity. Both pregnant women and antenatal care providers recognized opportunities for enhanced physical activity counselling.
KW - Antenatal care
KW - Counselling
KW - Physical activity
KW - Pregnancy
KW - Qualitative study
UR - http://www.scopus.com/inward/record.url?scp=85170043158&partnerID=8YFLogxK
U2 - 10.1016/j.srhc.2023.100902
DO - 10.1016/j.srhc.2023.100902
M3 - Journal article
C2 - 37660544
AN - SCOPUS:85170043158
VL - 38
JO - Sexual & Reproductive HealthCare
JF - Sexual & Reproductive HealthCare
SN - 1877-5756
M1 - 100902
ER -
ID: 366829950